Human rights statements on intersex characteristics distinguish legitimate “medically necessary” interventions from illegitimate normalizing ones. Ironically, this binary classification seems partially grounded in knowledge of anatomy and medical interventions; the very expertise that human rights statements challenge. Here, 23 European health professionals from specialist “disorder of sex development” (DSD) multidisciplinary teams located medical interventions on a continuum ranging from “medically essential” to nonessential poles. They explained their answers. Participants mostly described interventions on penile/scrotal, clitoral/labial, vaginal, and gonadal anatomy whose essential character was only partially grounded in anatomical variation and diagnoses. To explain what was medically necessary, health care professionals drew on lay understandings of child development, parental distress, collective opposition to medicalization, patients “coping” abilities, and patients’ own choices. Concepts of “medical necessity” were grounded in a hybrid ontology of patients with intersex traits as both physical bodies and as phenomenological subjects. Challenges to medical expertise on human rights grounds are well warranted but presume a bounded and well-grounded category of “medically necessary” intervention that is discursively flexible. Psychologists’ long-standing neglect of people with intersex characteristics, and the marginalization of clinical psychologists in DSD teams, may contribute to the construction of some controversial interventions as medically necessary.

The Italian situation of lesbian women-parented families seems to be trapped between a deprivation of a public and legal acknowledgement and the reality of every day lives of lesbian women having children in a same-sex relationship context experiencing this ambivalence in their personal, familiar and social existence. The aim of this study is to analyse the narratives of 17 lesbian mothers (10 biological mothers and 7 social mothers) in order to outline the construction of their identities as parents, the affective relationships with the partner (social mother) and the relationships established with the public agencies (school, neighbourhood, family networks).Results show that lesbian maternity has strong political and social implications. In particular our analysis underlines the libertarian extent of lesbian maternity paths, often based on equal roles and promoting the enlargement of the concepts of family. Our findings suggest that the lack of legal recognition has a threatening effect on the sense-making processes that social mothers perform during the development of their parental role.

It should not be surprising that in Italy, one of the latest European countries to recognize same-sex couples, LGBTIQ+ concerns are not included in students' academic curricula. Therefore, following the historical path of gender studies (GS) and women's studies (WS), this article explores the current feminist and gender discourse in order to catch a glimpse of what will be needed to fill this gap. To clarify which women's and gender studies standpoints are taught to new generations in Italy, lexicometric and correspondence analysis were performed on the descriptions of universities courses teaching WS and GS perspectives. Although the international spread of these two perspectives in academia is still wide, the results indicate a consistent lack of these courses in Italian institutions of higher education and, moreover, separate viewpoints associated with the two perspectives.

This article explores how health professionals in Italy understand variations of sex characteristics (VSC), also referred to as intersex and/or disorders of sex development (DSD). With estimates of VSC frequency ranging from 0.018% to 1.7%, only a handful of highly specialised medical doctors are considered DSD experts. When addressing the daily health management of children and families who do not live near specialist DSD centres, these experts may refer individuals to the nearest health professional that Italian health services provides, opening up questions regarding how these professionals might act and react when faced with VSC. In this analysis of interview data from 65 Italian general practitioners, paediatricians and psychologists, we address two themes. The first theme discusses participants' previous experiences and case management, with a focus on social, medical and gender biases. The second theme examines health professionals' opinions and perspectives on ongoing conflicts concerning current best care practices. Our results highlight health professionals' cultural and gendered biases, confirming the need to develop specific professional training, guidelines and policies to improve the healthcare of people with VSC.

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